The imbalance of circulating PD-L1-expressing non-classical/ classical monocytes is involved in immunocompromised host related pulmonary opportunistic infection

The application of biological therapy and glucocorticoids in Auto-immune diseases (AID) patients will cause immunocompromised host (ICH) prone to infection. And monocytes play a key role in both innate and adaptive immune responses. We aimed to investigate the changes of circulating monocyte subsets...

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Main Authors: Danhong Zhou, Yujia Jin, Yifan Jin, Yu Shen, Qiuxia Qu, Cheng Chen
Format: Article
Language:English
Published: SAGE Publishing 2025-01-01
Series:Innate Immunity
Online Access:https://doi.org/10.1177/17534259251316152
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author Danhong Zhou
Yujia Jin
Yifan Jin
Yu Shen
Qiuxia Qu
Cheng Chen
author_facet Danhong Zhou
Yujia Jin
Yifan Jin
Yu Shen
Qiuxia Qu
Cheng Chen
author_sort Danhong Zhou
collection DOAJ
description The application of biological therapy and glucocorticoids in Auto-immune diseases (AID) patients will cause immunocompromised host (ICH) prone to infection. And monocytes play a key role in both innate and adaptive immune responses. We aimed to investigate the changes of circulating monocyte subsets in AID or AID-ICH patients with pulmonary infection. The subgroups and PD-L1 expression of monocytes were measured by flow cytometry in healthy individuals (HC), new-onset AID patients (AID cohort) and AID-ICH patients with pulmonary opportunistic infection (AID-ICH cohort). Flow cytometry analysis was used to determine the distribution of monocyte subsets, including classical monocytes (CL, CD14 ++ CD16 − ), intermediate monocytes (ITM, CD14 ++ CD16 + ) and non-classical monocytes (NC, CD14 +/− CD16 ++ ), as well as the dynamic change of PD-L1  +  cluster among monocyte subsets. Among total monocyte, AID-ICH displayed decreased CL subset along with increased NC subset compared to HCs and AID. Regarding PD-L1  +  monocytes, although CL subset constituted the majority of that in HCs, AIDs and AID-ICHs, imbalance of NC/CL within PD-L1  +  monocytes was only noticed in AID-ICHs ( P  < 0.05). Furthermore, when AID subjects were developed into immunocompromised status (ICH), PD-L1  +  cluster in CL was minorly decreased ( P  > 0.05). Clinically, the lower ratio of PD-L1  +  cluster among CL subset ( P  < 0.05) and the less differentiated CL in PD-L1  +  monocytes ( P  < 0.05) was more likely to leaded to disease progression. The imbalance of circulating NC/CL subset was remarkable in immunocompromised host with pulmonary opportunistic infection, especially involvement of PD-L1 + cluster, which served as a potential biomarker in clinical practice.
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spelling doaj-art-357e4fe2a92946399aff27b4707753f62025-01-23T13:03:32ZengSAGE PublishingInnate Immunity1753-42672025-01-013110.1177/17534259251316152The imbalance of circulating PD-L1-expressing non-classical/ classical monocytes is involved in immunocompromised host related pulmonary opportunistic infectionDanhong Zhou0Yujia Jin1Yifan Jin2Yu Shen3Qiuxia Qu4Cheng Chen5 Department of Respiratory and Critical Medicine, , Suzhou, China Department of Respiratory and Critical Medicine, , Suzhou, China Department of Respiratory and Critical Medicine, , Suzhou, China Jiangsu Key Laboratory of Clinical Immunology, , Suzhou, China Jiangsu Key Laboratory of Clinical Immunology, , Suzhou, China Department of Respiratory and Critical Medicine, , Suzhou, ChinaThe application of biological therapy and glucocorticoids in Auto-immune diseases (AID) patients will cause immunocompromised host (ICH) prone to infection. And monocytes play a key role in both innate and adaptive immune responses. We aimed to investigate the changes of circulating monocyte subsets in AID or AID-ICH patients with pulmonary infection. The subgroups and PD-L1 expression of monocytes were measured by flow cytometry in healthy individuals (HC), new-onset AID patients (AID cohort) and AID-ICH patients with pulmonary opportunistic infection (AID-ICH cohort). Flow cytometry analysis was used to determine the distribution of monocyte subsets, including classical monocytes (CL, CD14 ++ CD16 − ), intermediate monocytes (ITM, CD14 ++ CD16 + ) and non-classical monocytes (NC, CD14 +/− CD16 ++ ), as well as the dynamic change of PD-L1  +  cluster among monocyte subsets. Among total monocyte, AID-ICH displayed decreased CL subset along with increased NC subset compared to HCs and AID. Regarding PD-L1  +  monocytes, although CL subset constituted the majority of that in HCs, AIDs and AID-ICHs, imbalance of NC/CL within PD-L1  +  monocytes was only noticed in AID-ICHs ( P  < 0.05). Furthermore, when AID subjects were developed into immunocompromised status (ICH), PD-L1  +  cluster in CL was minorly decreased ( P  > 0.05). Clinically, the lower ratio of PD-L1  +  cluster among CL subset ( P  < 0.05) and the less differentiated CL in PD-L1  +  monocytes ( P  < 0.05) was more likely to leaded to disease progression. The imbalance of circulating NC/CL subset was remarkable in immunocompromised host with pulmonary opportunistic infection, especially involvement of PD-L1 + cluster, which served as a potential biomarker in clinical practice.https://doi.org/10.1177/17534259251316152
spellingShingle Danhong Zhou
Yujia Jin
Yifan Jin
Yu Shen
Qiuxia Qu
Cheng Chen
The imbalance of circulating PD-L1-expressing non-classical/ classical monocytes is involved in immunocompromised host related pulmonary opportunistic infection
Innate Immunity
title The imbalance of circulating PD-L1-expressing non-classical/ classical monocytes is involved in immunocompromised host related pulmonary opportunistic infection
title_full The imbalance of circulating PD-L1-expressing non-classical/ classical monocytes is involved in immunocompromised host related pulmonary opportunistic infection
title_fullStr The imbalance of circulating PD-L1-expressing non-classical/ classical monocytes is involved in immunocompromised host related pulmonary opportunistic infection
title_full_unstemmed The imbalance of circulating PD-L1-expressing non-classical/ classical monocytes is involved in immunocompromised host related pulmonary opportunistic infection
title_short The imbalance of circulating PD-L1-expressing non-classical/ classical monocytes is involved in immunocompromised host related pulmonary opportunistic infection
title_sort imbalance of circulating pd l1 expressing non classical classical monocytes is involved in immunocompromised host related pulmonary opportunistic infection
url https://doi.org/10.1177/17534259251316152
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